Organization
AMERICAN DENTAL OF FITZGERALD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKI E DAVIS (PRACTICE ADMINISTRATOR)
(229) 313-5083
Entity
Organization
Contact information
Practice address
PO BOX 877, FITZGERALD, GA 31750-0877
(229) 423-9471
Mailing address
PO DRAWER 877, FITZGERALD, GA 31750-0877
(229) 423-9471
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
12/21/2018
Last updated
12/11/2019
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